Provider Demographics
NPI:1316168388
Name:YISRAEL, SHMUEL BEN (DN DOCTOR OF NAPRAPA)
Entity type:Individual
Prefix:
First Name:SHMUEL
Middle Name:BEN
Last Name:YISRAEL
Suffix:
Gender:M
Credentials:DN DOCTOR OF NAPRAPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 805521
Mailing Address - Street 2:5844 WEST OHIO ST 2ND FLR
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60644-1409
Mailing Address - Country:US
Mailing Address - Phone:773-287-7266
Mailing Address - Fax:773-287-7288
Practice Address - Street 1:5844 WEST OHIO ST
Practice Address - Street 2:2ND FLR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60644-1409
Practice Address - Country:US
Practice Address - Phone:773-287-7266
Practice Address - Fax:773-287-7288
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL172P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172P00000XOther Service ProvidersNaprapath